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A programme to develop a skin patch containing two medicines (physostigmine and hyoscine) - study 2: Assessment of blood levels of the two medicines and any associated symptoms in healthy male participants wearing four prototype skin patches

A Dose-escalation Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Four Transdermal Patch Formulations (F4-F7) of Hyoscine and Physostigmine in Healthy Male Subjects

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN29062676
Enrollment
24
Registered
2019-09-06
Start date
2005-01-13
Completion date
Unknown
Last updated
2019-10-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Potential risk of poisoning by nerve agent Injury, Occupational Diseases, Poisoning Poisoning

Interventions

1. Generic drug name- physostigmine and hyoscine (transdermal patch). Four versions of PHP transdermal patch were tested. These patches contained different amounts of physostigmine and hyoscine in on

Sponsors

Defence Science and Technology Laboratory (Dstl)
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: Subjects had to meet all of the following criteria: 1. Ability to give written informed consent prior to study participation 2. Healthy Caucasian male subjects aged between 18 and 40 years (inclusive) 3. Body Mass Index (BMI) within the range of ? 21 and ? 30 kg/m2 4. Vital signs within the following ranges: 4.1 Pulse rate 40-90 bpm 4.2 Systolic blood pressure 90-140 mmHg 4.3 Diastolic blood pressure 50-90 mmHg 5. Ability to communicate well with the Investigator and to comply with the requirements of the study

Exclusion criteria

Exclusion criteria: 1. Presence of any clinically significant medical condition as determined by the Investigator 2. Any surgical or medical condition which might have significantly altered the absorption, distribution, metabolism or excretion of any drug. (e.g. renal or liver disease, respiratory, immunological, endocrine or neurological disorders) 3. Any ECG abnormality other than sinus bradycardia or respiratory sinus arrhythmia 4. Known or suspected hypersensitivity or idiosyncratic reaction related to any of the study products 5. Any history of contact dermatitis 6. Plasma cholinesterase genotype homozygous for A or S variant 7. Any skin disorder, broken skin, scars, tattoos at the sites of patch application (i.e. on both arms) 8. Glaucoma or a history of glaucoma in first degree relatives (i.e. parents, siblings or offspring) 9. Presence of Anterior Chamber Narrow Angle (Van Herrick Grade 1 and 2) 10. Intra-ocular pressure exceeding 20 mm Hg 11. Uncorrected vision in both eyes of worse than 6/9 on the Snellen Scale 12. Required glasses or contact lenses for distance vision 13. Peripheral visual fields outside of age corrected normal parameters 14. History of asthma (within the previous 10 years), exercise induced bronchospasm or relevant seasonal bronchospasm 15. Lung function of less than 80% of predicted spirometry criteria 16. History or evidence of drug abuse (opiates, methadone, cocaine, amphetamines, methamphetamines, cannabinoids, barbiturates) 17. Positive test for HIV, hepatitis B or hepatitis C 18. History or evidence of alcohol abuse defined as an intake of more than 28 units per week (4 units per day), where 1 unit corresponds to 250 ml beer, 20 ml spirits/liqueur or one glass (100 ml) of wine 19. Positive urine test for alcohol 20. Participation in another clinical study within three months prior to Screening 21. Use of any prescription medication within 21 days prior to Baseline 22. Use of non-prescription medication within 7 days prior to Baseline (apart from paracetamol) 23. Donation of blood or blood products for a period of 3 months prior to or the intention to donate blood or blood products within 3 months after completion of the study

Design outcomes

Primary

MeasureTime frame
Safety and tolerability of physostigmine/hyoscine combination measured using safety monitoring, blood sampling for pharmacokinetics and pharmacodynamics, patch adhesion and patch application site assessments, ECG and ocular function assessments were performed for up to 96 hours after the application of each patch

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026